Organization
N ORTHCOAST WOMENS'S HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARCIA JANE BRENTA OB GYN NP (RN OB GYN NP)
(707) 601-4687
Entity
Organization
Contact information
Practice address
1930 MYRTLE AVE, EUREKA, CA 95501-1406
(707) 825-3369
Mailing address
579 HIDDEN VALLEY RD, BAYSIDE, CA 95524-9049
(707) 601-4687
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
262859
CA
Other
Enumeration date
01/15/2015
Last updated
02/04/2015
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